|
Brca2 gene full dup/del alys
|
$311.17 |
$311.17 |
$311.17 |
$311.17
|
|
Brcassure ashkenazi panel-sendout
|
$484.00 |
$484.00 |
$484.00 |
$528.00
|
|
Brcassure comprehensive panel-sendout
|
$2,007.37 |
$2,007.37 |
$2,007.37 |
$2,359.00
|
|
Breast augmentation 19325
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,881.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,012.38
|
|
Breast punct aspir cyst, bil
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$832.60
|
|
Breast reconstruction 19357
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$8,977.64
|
|
Breast reduction
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,855.00
|
|
Breathing response hypoxia
|
$59.65 |
$59.65 |
$59.65 |
$169.23
|
|
Breath test analysis c-14
|
$103.85 |
$103.85 |
$103.85 |
$197.34
|
|
Breath tst attain/anal c-14
|
$12.17 |
$12.17 |
$12.17 |
$70.00
|
|
Bronch/asp/tracheobronch tree/subs 31646
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$870.87
|
|
Bronch ebus samplng 1/2 node
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,452.00
|
|
Bronch ebus samplng 3/> node
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,126.62
|
|
Bronchial brush biopsy
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$673.60
|
|
Bronchial valve init insert
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,311.00
|
|
Bronchial valve remov addl
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,129.40
|
|
Bronchial valve remov init
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,330.61
|
|
Bronchoscopy bronch stents
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,419.00
|
|
Bronchoscopy clear airways 31645
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,626.00
|
|
Bronchoscopy dilate/fx repr
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,627.00
|
|
Bronchoscopy dilate w/stent
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,768.75
|
|
Bronchoscopy/lung bx each 31628
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,799.90
|
|
Bronchoscopy/needle bx each 31629
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,425.50
|
|
Bronchoscopy revise stent
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,855.00
|
|
Bronchoscopy treat blockage
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,362.99
|
|
Bronchoscopy w/biopsy(s) 31625
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,256.75
|
|
Bronchoscopy w/fb removal 31635
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,672.16
|
|
Bronchoscopy w/markers
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$7,565.43
|
|
Bronchoscopy w/tumor excise
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,034.55
|
|
Bronch thermoplsty 1 lobe
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,839.00
|
|
Bronch thermoplsty 2/> lobes
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$7,179.75
|
|
Bronch w/balloon occlusion
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$7,668.85
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$329.45
|
|
Br punct aspir ea add, l
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$387.96
|
|
Bundled special stain group 1 microorganisms
|
$99.97 |
$99.97 |
$99.97 |
$166.15
|
|
Bundled special stain group 2
|
$75.55 |
$75.55 |
$75.55 |
$170.65
|
|
Buprenorphine and metabolite - sendout
|
$3.60 |
$3.60 |
$3.60 |
$99.72
|
|
Buttock fasciotomy
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,110.00
|
|
Buttock fasciotomy w/dbrdmt
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,509.30
|
|
Bx arm/elbow soft tissue supf 24065
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,935.63
|
|
Bx bone trocar/ndl deep
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,264.77
|
|
Bx breast 1st lesion mr imag
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,231.90
|
|
Bx breast 1st lesion strtctc
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,742.20
|
|
Bx breast perq without image 19100
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,374.91
|
|
Bx breast pq tomo guide
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,741.00
|
|
Bx/curett of cervix w/scope 57454
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$576.00
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,184.94
|
|
Bx/exc lymph node/open/superfic 38500
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,135.34
|
|
Bx leg/ankle soft tissue deep 27614
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,225.86
|
|
Bx muscle
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,855.89
|
|
Bx nasopharynx/unknown pri lesion 42806
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,544.29
|
|
Bx of breast open 19101
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,390.01
|
|
Bx of cervix w/scope leep 57460
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,876.00
|
|
Bx pancreas pq ndl
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,761.70
|
|
Bx perianal mass
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,369.03
|
|
Bx pleura pq ndl
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,637.90
|
|
Bx prst8 ndl sat sampling
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,096.52
|
|
Bx shoulder tissues deep 23066
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,018.43
|
|
Bx shoulder tissues supf 23065
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,903.40
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,793.38
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,793.38
|
|
Bx soft tiss pelvis/hip deep 27041
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,380.54
|
|
Bx soft tissue back/flank deep 21925
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,929.85
|
|
Bx soft tissue back/flank supf 21920
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,907.07
|
|
Bx spinal cord pq ndl
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,080.80
|
|
Bx thigh/knee soft tiss supf 27323
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,070.13
|
|
Bx thyroid/percutan core needle 60100
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,038.00
|
|
Bx vag mucos smpl (sep proc)
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,266.48
|
|
Bx vulva or perineum/1 lesion 56605
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,148.20
|
|
Bypass temp external fem-fem
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,650.40
|
|
C1 esterase inhibitor func - sendout
|
$13.20 |
$13.20 |
$13.20 |
$111.18
|
|
Cacna1a gene full gene seq
|
$930.90 |
$930.90 |
$930.90 |
$846.27
|
|
Calcium 24 hour urine
|
$6.63 |
$6.63 |
$6.63 |
$52.00
|
|
Calcium ionized
|
$15.05 |
$15.05 |
$15.05 |
$88.00
|
|
Calcium total
|
$5.68 |
$5.68 |
$5.68 |
$50.05
|
|
Calculi urinary-sendout
|
$14.16 |
$14.16 |
$14.16 |
$68.05
|
|
Calculus analysis qual
|
$12.74 |
$12.74 |
$12.74 |
$38.39
|
|
Caloric vstblr test w/rec
|
$77.19 |
$77.19 |
$77.19 |
$296.91
|
|
Calprotectin fecal
|
$21.59 |
$21.59 |
$21.59 |
$170.95
|
|
Campylobacter antibody
|
$14.43 |
$14.43 |
$14.43 |
$72.73
|
|
Candida dna
|
$22.06 |
$22.06 |
$22.06 |
$66.05
|
|
Cannula declotting 36861
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,271.13
|
|
Canthotomy 67715
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,228.00
|
|
Capsular contracture release
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,705.22
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,958.40
|
|
Capsulotomy mpj ea joint (sep proc)
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,545.97
|
|
Carbamazepine free
|
$14.58 |
$14.58 |
$14.58 |
$66.43
|
|
Carbamazepine free -sendout
|
$20.50 |
$20.50 |
$20.50 |
$53.25
|
|
Carbamazepine total therapeutic drug level
|
$16.03 |
$16.03 |
$16.03 |
$114.40
|
|
Carbohydrate deficient transf - sendout
|
$19.87 |
$19.87 |
$19.87 |
$118.80
|
|
Carbohydrate urine - sendout
|
$6.05 |
$6.05 |
$6.05 |
$50.40
|
|
Carbon dioxide
|
$5.37 |
$5.37 |
$5.37 |
$45.65
|
|
Carboxyhemoglobin quantitative
|
$13.55 |
$13.55 |
$13.55 |
$85.33
|
|
Carcinoembryonic ag (cea)
|
$20.86 |
$20.86 |
$20.86 |
$147.71
|
|
Cardiac perf planar mult/ef/wm
|
$532.34 |
$532.34 |
$532.34 |
$2,566.85
|
|
Cardiac perf planar sgl/ef/wm
|
$435.97 |
$435.97 |
$435.97 |
$1,987.38
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$530.54 |
$530.54 |
$530.54 |
$2,913.20
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$145.05 |
$145.05 |
$145.05 |
$256.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$79.98 |
$79.98 |
$79.98 |
$197.60
|
